Organization Active NPI

Speech Innovations, PLLC

  • Speech-Language Pathologist
  • Flagler, CO
National Provider Identifier
1841739596
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
0002198 Issued in CO
Legal business name
SPEECH INNOVATIONS, PLLC
Practice address
304 Kendall Ave
Flagler, CO 80815
Phone
(575) 649-9796
NPI assigned
Feb 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Morgan Hickey, MBA, MA CCC-SLP
Title
Business Owner
Phone
(575) 649-9796

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 0002198 CO Primary

Addresses

Primary practice location

304 Kendall Ave
Flagler, CO 80815

Mailing address

PO Box 236
Flagler, CO 80815-0236
Phone (575) 649-9796

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1841739596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 236",
            "city": "FLAGLER",
            "state": "CO",
            "postal_code": "808150236",
            "telephone_number": "575-649-9796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 KENDALL AVE",
            "city": "FLAGLER",
            "state": "CO",
            "postal_code": "80815",
            "telephone_number": "575-649-9796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH INNOVATIONS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-14",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "HICKEY",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "575-649-9796",
        "authorized_official_credential": "MBA, MA CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "0002198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagler, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.